KIMBERLY VIOLET TEATS-GARRISON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****44

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

VIOLET

Last Name

TEATS-GARRISON

Business Name

KIMBERLY VIOLET TEATS-GARRISON

Original Issue Date

08/23/2018

Effective Date

01/28/2026

Expiration Date

03/01/2028

City

FULTON

State

Zip

61250

County

WHITESIDE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/28/2026